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Alabama rates for HCPCS 51726

Complex cystometrogram (ie, calibrated electronic equipment);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $575.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $102.33 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $229.09 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $338.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $83.18 / $100.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $204.17 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $363.08 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $109.65 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $263.03 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $446.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $91.20 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $218.78 / $323.59